Federal Register / Vol. 89, No. 246 / Monday, December 23, 2024 / Notices 104545 

program, you may contact Anne Pesto, 

Senior Advisor, Marketplace Eligibility 

and Enrollment Group, Center for 

Consumer Information and Insurance 

Oversight, Centers for Medicare & 

Medicaid Services, at 667–290–9486, by 

email at anne.pesto@cms.hhs.gov, or by 

mail at 7500 Security Blvd., Baltimore, 

MD 21244. 

SUPPLEMENTARY INFORMATION: The 

Privacy Act of 1974, as amended (5 

U.S.C. 552a) provides certain 

protections for individuals applying for 

and receiving Federal benefits. The law 

governs the use of computer matching 

by Federal agencies when records in a 

system of records (meaning, Federal 

agency records about individuals 

retrieved by name or other personal 

identifier) are matched with records of 

other Federal or non-Federal agencies. 

The Privacy Act requires agencies 

involved in a matching program to: 

1. Enter into a written agreement, 

which must be prepared in accordance 

with the Privacy Act, approved by the 

Data Integrity Board of each source and 

recipient Federal agency, provided to 

Congress and the Office of Management 

and Budget (OMB), and made available 

to the public, as required by 5 U.S.C. 

552a(o), (u)(3)(A), and (u)(4). 

2. Notify the individuals whose 

information will be used in the 

matching program that the information 

they provide is subject to verification 

through matching, as required by 5 

U.S.C. 552a(o)(1)(D). 

3. Verify match findings before 

suspending, terminating, reducing, or 

making a final denial of an individual’s 

benefits or payments or taking other 

adverse action against the individual, as 

required by 5 U.S.C. 552a(p). 

4. Report the matching program to 

Congress and the OMB, in advance and 

annually, as required by 5 U.S.C. 

552a(o) (2)(A)(i), (r), and (u)(3)(D). 

5. Publish advance notice of the 

matching program in the Federal 

Register as required by 5 U.S.C. 

552a(e)(12). 

This matching program meets these 

requirements. 

Barbara Demopulos, 

Privacy Act Officer, Division of Security, 

Privacy Policy and Governance, Office of 

Information Technology, Centers for Medicare 

& Medicaid Services. 

Participating Agencies 

The Department of Health and Human 

Services (HHS), Centers for Medicare & 

Medicaid Services (CMS) is the 

recipient agency, and the Department of 

the Treasury (Treasury), Internal 

Revenue Service (IRS) is the source 

agency. 

Authority for Conducting the Matching 

Program 

The authority for the matching 

program is 42 U.S.C. 18001, et seq. 

Purpose(s) 

The purpose of the matching program 

is to provide CMS with IRS Federal tax 

information which CMS and State-based 

administering entities (AEs) will use to 

verify household income and family 

size for applicants and enrollees 

receiving eligibility determinations and 

redeterminations for benefits under the 

Patient Protection and Affordable Care 

Act (PPACA), including: enrollment in 

a Qualified Health Plan (QHP) or a 

State’s Basic Health Plan (BHP) through 

the federally-facilitated Exchange (FFE) 

or a State-based Exchange (SBE); 

advance payments of the premium tax 

credit (APTC); a cost sharing reduction 

(CSR); enrollment in Medicaid and the 

Children’s Health Insurance Program 

(CHIP); and certain certificates of 

exemption. 

Categories of Individuals 

The individuals whose information 

will be used in the matching program 

are consumers (applicants and 

enrollees) who receive the eligibility 

determinations and redeterminations 

described in the preceding Purpose(s) 

section (in particular, taxpayers whose 

Federal tax information is requested 

from IRS to verify an applicant’s or 

enrollee’s household income and family 

size). 

Categories of Records 

The categories of records used in the 

matching program are identity 

information and Federal tax information 

(specifically, household income and 

family size information). To request 

Federal tax information from IRS, CMS 

will provide IRS with the relevant 

taxpayer’s name, social security number 

(SSN), and relationship to the 

applicant(s) or enrollee(s) (i.e., primary, 

spouse, or dependent). When IRS is able 

to match the SSN and name provided by 

CMS and Federal tax information is 

available, IRS will disclose to CMS the 

following items of Federal tax 

information with respect to that 

taxpayer: 

1. SSN; 

2. family size; 

3. filing status; 

4. modified adjusted gross income 

(MAGI); 

5. taxable Social Security benefits; 

6. adjusted gross income (AGI) for 

adjusted tax returns; 

7. taxable year with respect to which 

the preceding information relates or, if 

applicable, the fact that such 

information is not available; and 

8. any other specified item of Federal 

tax information (FTI) authorized 

pursuant to 26 U.S.C. 6103(1)(21) and 

its implementing regulations. 

System(s) of Records 

The records used in this matching 

program will be disclosed from the 

following systems of records, as 

authorized by routine uses published in 

the System of Records Notices (SORNs) 

cited below: 

A. System of Records Maintained by 

CMS 

• CMS Health Insurance Exchanges 

System (HIX), CMS System No. 09–70– 

0560, last published in full at 78 FR 

63211 (Oct. 23, 2013), as amended at 83 

FR 6591 (Feb. 14, 2018). 

B. System of Records Maintained by IRS 

• FTI Treasury/IRS 24.030, published 

at 80 FR 54064 (Sept. 8, 2015). 

[FR Doc. 2024–30522 Filed 12–20–24; 8:45 am] 

BILLING CODE 4120–03–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10630 and 

CMS–10798] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

Services (HHS). 

ACTION: Notice. 

SUMMARY: The Centers for Medicare & 

Medicaid Services (CMS) is announcing 

an opportunity for the public to 

comment on CMS’ intention to collect 

information from the public. Under the 

Paperwork Reduction Act of 1995 

(PRA), Federal agencies are required to 

publish notice in the Federal Register 

concerning each proposed collection of 

information (including each proposed 

extension or reinstatement of an existing 

collection of information) and to allow 

60 days for public comment on the 

proposed action. Interested persons are 

invited to send comments regarding our 

burden estimates or any other aspect of 

this collection of information, including 

the necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions, 

the accuracy of the estimated burden, 

ways to enhance the quality, utility, and 


khammond on DSK9W7S144PROD with NOTICES
104546 Federal Register / Vol. 89, No. 246 / Monday, December 23, 2024 / Notices 

clarity of the information to be 

collected, and the use of automated 

collection techniques or other forms of 

information technology to minimize the 

information collection burden. 

DATES: Comments must be received by 

February 21, 2025. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number. To be assured 

consideration, comments and 

recommendations must be submitted in 

any one of the following ways: 

1. Electronically. You may send your 

comments electronically to http://

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) that are accepting 

comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number: lll, Room C4–26– 

05, 7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, please access the CMS PRA 

website by copying and pasting the 

following web address into your web 

browser: https://www.cms.gov/ 

Regulations-and-Guidance/Legislation/ 

PaperworkReductionActof1995/PRAListing. 

FOR FURTHER INFORMATION CONTACT: 

William N. Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: 

Contents 

This notice sets out a summary of the 

use and burden associated with the 

following information collections. More 

detailed information can be found in 

each collection’s supporting statement 

and associated materials (see 

ADDRESSES). 

CMS–10630 The PACE Organization 

(PO) Monitoring and Audit Process 

CMS–10798 Application for Part B 

Immunosuppressive Drug Coverage 

(Part B–ID) 

Under the PRA (44 U.S.C. 3501– 

3520), Federal agencies must obtain 

approval from the Office of Management 

and Budget (OMB) for each collection of 

information they conduct or sponsor. 

The term ‘‘collection of information’’ is 

defined in 44 U.S.C. 3502(3) and 5 CFR 

1320.3(c) and includes agency requests 

or requirements that members of the 

public submit reports, keep records, or 

provide information to a third party. 

Section 3506(c)(2)(A) of the PRA 

requires Federal agencies to publish a 

60-day notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension or reinstatement of an existing 

collection of information, before 

submitting the collection to OMB for 

approval. To comply with this 

requirement, CMS is publishing this 

notice. 

Information Collections 

1. Type of Information Collection 

Request: Revision of a currently 

approved information collection; Title 

of Information Collection: The PACE 

Organization (PO) Monitoring and Audit 

Process; Use: Sections 1894(e)(4) and 

1934(e)(4) of the Act and the 

implementing regulations at 42 CFR 

460.190 and 460.192 mandate that CMS, 

in conjunction with the SAA, audit POs 

annually for the first 3 years (during the 

trial period), and then on an ongoing 

basis following the trial period. The 

information gathered during this audit 

will be used by the Medicare Parts C 

and D Oversight and Enforcement 

Group (MOEG) within the Center for 

Medicare (CM), as well as the SAA, to 

assess POs’ compliance with PACE 

program requirements. If outliers or 

other data anomalies are detected, other 

offices within CMS will work in 

collaboration with MOEG for follow-up 

and resolution. Additionally, POs will 

receive the audit results and will be 

required to implement corrective action 

to correct any identified deficiencies. 

Information collected from the POs 

for use in the audit is obtained 

electronically through the Health Plan 

Management System (HPMS). HPMS is 

a system that was developed and is 

maintained by CMS and is used to 

securely transmit information between 

CMS and POs. All POs have access to 

HPMS, and users create and maintain a 

secure user id and password that is used 

each time HPMS is accessed. Form 

Number: CMS–10630 (OMB control 

number: 0938–1327); Frequency: 

Annually; Affected Public: Private 

Sector, State, Local, or Tribal 

Governments, Business or other forprofits, Not-for-profits institutions; 

Number of Respondents: 40; Total 

Annual Responses: 43; Total Annual 

Hours: 31,200. (For policy questions 

regarding this collection contact Katrina 

Hoadley at 410–786–8480 or 

katrina.hoadley@cms.hhs.gov). 

2. Type of Information Collection 

Request: Revision of a currently 

approved information collection; Title: 

Application for Part B 

Immunosuppressive Drug Coverage 

(Part B–ID); Use: Sections 226A, 1836(b) 

and 1837(n) of the Act provide the 

statutory authority for this new, limited 

Medicare entitlement program. It is 

stated in § 407.1(a)(6) that, sections 

1836(b) and 1837(n) of the Act provide 

for coverage of immunosuppressive 

drugs as described in section 

1861(s)(2)(J) of the Act under Part B 

beginning on or after January 1, 2023, 

for eligible individuals whose benefits 

under Medicare Part A and eligibility to 

enroll in Part B on the basis of ESRD 

would otherwise end with the 36th 

month after the month in which the 

individual receives a kidney transplant 

by reason of section 226A(b)(2) of the 

Act. 

The CMS–10798 provides the 

necessary information to determine 

eligibility and to process the 

beneficiary’s request for enrollment for 

in Part B–ID coverage. This form is only 

used for enrollment by beneficiaries 

whose Medicare entitlement based on 

ESRD would otherwise end after a 

successful kidney transplant to continue 

enrollment under Medicare Part B only 

for the coverage of immunosuppressive 

drugs who already have Part A, but not 

Part B. 

Form CMS–10798 is completed by the 

individual or is completed by an SSA 

representative using information 

provided by the Medicare enrollee 

during a telephone interview. The form 

is owned by CMS, but not completed by 

CMS staff. SSA processes Medicare 

enrollments on behalf of CMS. Form 

Number: CMS–10798 (OMB control 

number: 0938–1428); Frequency: Once; 

Affected Public: Individuals and 

Households, State, Local, or Tribal 

Governments; Number of Respondents: 

1,019; Total Annual Responses: 1,019; 

Total Annual Hours: 173. (For policy 

questions regarding this collection 

contact Tyrissa Woods at 410–786–0286 

or Tyrissa.woods@cms.hhs.gov.) 

William N. Parham, III, 

Director, Division of Information Collections 

and Regulatory Impacts, Office of Strategic 

Operations and Regulatory Affairs. 

[FR Doc. 2024–30620 Filed 12–20–24; 8:45 am] 

BILLING CODE 4120–01–P 


khammond on DSK9W7S144PROD with NOTICES